Billing Specialist

Job Description

Job Description

Community Servings' mission is to actively engage the community to provide medically tailored, nutritious, scratch-made meals to chronically and critically ill individuals and their families. In addition, we are committed to prioritizing racial and economic justice and health equity in all our programs and business practices.

We are a dynamic and fast-growing agency at the forefront of the "Food is Medicine" field, providing over 1M medically tailored meals annually to clients and their families experiencing illness and food insecurity in Massachusetts and Rhode Island. In addition, our work strongly focuses on supporting the regional local food system, delivering high-quality nutrition education to the community, and hosting an on-site food-service workforce development program. Over the past 34 years, the agency has provided 13M+ free, scratch-made meals.

Summary : Reporting to the Chief Financial Officer, the Billing Specialist is responsible for all aspects of healthcare and private contracts billing, including reimbursements. This role involves tracking insurance claim requirements, submitting high volume claims accurately and timely, identifying and correcting denied and rejected claims, and analyzing Accounts Receivable reports to follow up on unpaid claims. Additionally, the Billing Specialist will perform various accounting duties and must apply knowledge of Generally Accepted Accounting Principles (GAAP) and double-entry bookkeeping principles in daily tasks.

This is a hybrid position based in our Jamaica Plain office and will require an onsite presence of three days per week.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

Billing

• Enter the new client's basic demographic and insurance information into the billing system.
• Submit high volume claims to payors, electronically or in paper form as needed, and verify receipt and acceptance by payors.
• Communicate with members of Client Services or Business Development departments to obtain information needed for billing completion.
• Reconcile and resolve issues related to claims submissions.
• Post electronic and check payments to the accounting systems, ensuring the posted totals reconcile to the Explanation of Benefits (EOBs) and / or invoices.
• Review denials and partially paid claims promptly and resolve discrepancies.
• Monitor Accounts Receivable aging reports, follow up with payors, and recommend patient balance write-offs when appropriate.
• Perform various administrative duties, including running monthly reports and gathering data as needed for financial and operations purposes.

Cost-reimbursement Billing :

Accounting

Qualifications / Requirements

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the experience, knowledge, skill, and / or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education

Associate’s degree in accounting or equivalent relevant education and work experience

Experience

Minimum of three to five years of healthcare billing, revenue cycle management and accounting experience required

Supervisory Responsibilities

None

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the office work environment is usually quiet.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The employee must occasionally lift and / or move up to 25 pounds. Specific vision abilities required by this job include close vision. While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to sit and use hands to finger, handle, or feel. The employee is routinely required to stand and walk.

We offer a complete benefits program including :

Community Servings knows that diversity drives excellence. We are a place where everyone is welcome. We celebrate, promote, and derive strength from a diversity of lived experiences. We actively seek and encourage an inclusive workforce.

Community Servings participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. Please refer to the E-Verification Poster (English / Spanish) and Right to Work Poster (English / Spanish) for additional information. If E-Verify cannot confirm that you are authorized to work, Community Servings is required to give you written instructions and an opportunity to contact the Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before any action is taken against you, including terminating your employment. Community Servings can only use E-Verify once you have accepted a job offer and completed Form I-9.